Learn

Procedural sedation and analgesia (PSA) can be used to reduce pain and awareness during painful or distressing procedures performed outside of the operating room. The level of awareness is typically adjusted according to patient risk factors and the type of procedure. In contrast to patients under general anesthesia, patients undergoing PSA, typically maintain airway reflexes and spontaneous respiration. While the risk to patients undergoing PSA is low, both oversedation and adverse effects from the medication are possible. Therefore, PSA should only be performed by trained providers and in patients who have been screened for conditions that are high risk for complications. The choice of sedatives and analgesics should be adapted to the procedure and the patient's physiological parameters, and patients should be monitored closely both during and after the procedure. Patients may be discharged after PSA once they return to their baseline level of functioning.

Recommendations in this article are consistent with the 2018 American Society of Anesthesiologists (ASA) guidelines, the 2019 American College of Emergency Physicians (ACEP) guideline, and the 2014 ACEP clinical policy statement relating to PSA

Details

Cost: Please refer to the registration page

Disclaimer: Please note, once you click 'Register now' you will be leaving the AMA’s CPD Home website and entering a third-party education provider’s website. If you choose to register for this learning, you will need to provide some of your personal information directly to the third-party education provider. If you have any queries about how third-party education providers use, disclose or store your personal information you should consult their privacy policy.

Upon completion, your CPD activity record may take up to 4 weeks to be reflected on your CPD Home Dashboard.